病历介绍患者女性,33岁,因疑有垂体肿瘤而入院。患者1年前开始出现疲劳,偶有潮热,运动后感胸前区不适,每日服大剂量阿斯匹林,此后几个月里,月经量减少,经前违和,但仍规律。入院前3个月出现上腹部烧灼痛,停服阿斯匹林,改用甲氰咪胍后好转,经期延迟2周,但妊娠试验阴性。入院前2个月,突发剧烈头痛,部位集中在眼球后。伴呕吐和轻度畏光、颈硬。X线照片示蝶鞍变薄,后底被侵蚀。双侧副鼻窦正常。投以红霉素、盐酸丙氧吩、假麻黄硷、盐酸苯丙烯啶合剂,2周后头痛消失,病人开始出现体位性眩晕,不耐寒。入院前1个 The medical record describes the patient female, 33 years old, admitted to hospital because of suspected pituitary tumor. The patient began to fatigue 1 year ago, occasionally having hot flashes, feeling uncomfortable in the chest area after exercise, taking large doses of aspirin daily, and after a few months, the amount of menstrual flow was reduced, and the menstrual flow was violated but still regular. A burning episode in the upper abdomen occurred 3 months before admission and she stopped taking aspirin. He improved after receiving cimetidine and was delayed for 2 weeks. However, the pregnancy test was negative. Two months before admission, she developed a severe headache and her focus was on the eye. With vomiting and mild photophobia, neck stiffness. X-rays show that the sphenoid sinus is thin and the back end is eroded. Bilateral paranasal sinus normal. Erythromycin, propoxyphene hydrochloride, pseudoephedrine, and phencycline hydrochloride were administered. After 2 weeks, the headache disappeared. The patient began to show postural dizziness and was not cold tolerant. 1 before admission